The related factors of pancreatic infection in patients with severe acute pancereatitis

VernacularTitle:重症急性胰腺炎早期并发感染的相关因素分析
Author: Lianbin XIAO
Publication Type:Journal Article
Keywords: Pancreatis; Infection; Risk factors
From: Chinese Journal of Primary Medicine and Pharmacy 2013;20(6):812-814
CountryChina
Language:Chinese
Abstract: Objective To study the related factors of pancreatic infection in patients with severe acute pancereatitis(SAP).Methods 113 patients with SAP were divided into the SAP group and the infected group,and 18 factors were contrasted between the two groups.Results There were 44 patients in the SAP group and 69 patients in the infected group,There was no significant difference in gender,age,hemodiastase,blood glucose,AST,ALT,blood calcium,CRP,and mechanical ventilation between the two groups (P ＞ 0.05).But thwre were significant differences in nosogenesis,APACHE-Ⅱ score,Ranson score,CT Balthazar grading,serum albumin,Cr,BUN,central venous catheter time,and PPI application time(t =16.0496,3.9607,8.3717,8.5124,13.8177,7.0316,6.187,5.4527,3.8548,all P ＜ 0.01).Conclusion Biliary SAP,higher APACHE-Ⅱ score,higher Ranson score,higher CT Balthazar grading,lower serum albumin,higher Cr,higher BUN,longer central venous catheter time,longer PPI application time can increase the pancreatic infection rates in patients with SAP.